ROBERT KENNETH FAIRBANKS M.D. NPI 1821084781

NPI Information

  • NPI: 1821084781
  • Provider Name: ROBERT KENNETH FAIRBANKS, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 504 6TH ST
    LEWISTON, ID
    ZIP 83501
  • Phone: (208) 799-5600

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NPI Details

Robert Kenneth Fairbanks, M.D. is a radiation oncology radiology in Lewiston, ID with 34 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Robert Kenneth Fairbanks, M.D. NPI is 1821084781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

504 6TH ST
LEWISTON, ID
ZIP 83501-439
Phone: (208) 799-5600
Fax: (208) 799-5755

The NPI 1821084781 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie (HCPCS:A9596)
  • Complex radiation therapy planning (HCPCS:77263)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • High precision radiation therapy planning (HCPCS:77301)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • 3d radiation therapy planning (HCPCS:77295)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Special radiation treatment (HCPCS:77470)
  • Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified (HCPCS:A9597)
  • Special radiation therapy planning for delivery of external radiation (HCPCS:77321)

The enumeration date for this NPI number is 9/26/2005 and was last updated on 8/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyMD00037655WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18243958MEDICAIDWASHINGTON
2000010032648OTHERBLUE SHIELD OF IDAHO
30144615OTHERWASHINGTONLABOR & INDUSTRIES
4805949200MEDICAIDIDAHO
53070FAOTHERWASHINGTONASURIS NW HEALTH
6920006292OTHERRAILROAD MEDICARE
75034131OTHERAETNA
8K0716OTHERBLUE CROSS OF IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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